Foot and Ankle Surgery最新文献_第2页

No difference in outcomes between golfers and non-golfers undergoing total ankle replacements. 接受全踝关节置换术的高尔夫球手和非高尔夫球手的结果没有差异。

IF 2 3区医学

Foot and Ankle Surgery Pub Date : 2025-08-13 DOI: 10.1016/j.fas.2025.08.002

Jun Min Leow, Nicholas Clement, Andrew Murray, Hisham Shalaby, John Mckinley

{"title":"No difference in outcomes between golfers and non-golfers undergoing total ankle replacements.","authors":"Jun Min Leow, Nicholas Clement, Andrew Murray, Hisham Shalaby, John Mckinley","doi":"10.1016/j.fas.2025.08.002","DOIUrl":"https://doi.org/10.1016/j.fas.2025.08.002","url":null,"abstract":"<p><strong>Background: </strong>The outcomes of total ankle replacements (TAR) in golfers are not known. The primary aim was to assess whether golfers experience similar improvements using the Manchester-Oxford Foot Questionnaire (MOXFQ) compared to the wider population. Secondary aims were to assess difference in demographics, health-related quality of life, and return to golf.</p><p><strong>Methods: </strong>This was a retrospective review of prospectively collected data. Nineteen golfers and 144 non-golfers were included. Outcomes measured were MOXFQ, EQ5D3L and patient satisfaction.</p><p><strong>Results: </strong>Golfers had significantly better MOXFQ scores preoperatively (p = 0.02) and postoperatively (p = 0.03), but there was no significant difference in mean change. Postoperative EQ5D3L scores were similar between groups. 52 % returned to golf within 6 months and 79 % within one year, similar to hip, knee and shoulder arthroplasty.</p><p><strong>Conclusion: </strong>Golfers experience comparable improvements following TAR, with high rates of return to play. These findings may be used to counsel patients and manage expectations preoperatively.</p><p><strong>Level of evidence: </strong>II.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Return to sport after osteotomy in patients with hallux rigidus. 拇僵直患者截骨术后恢复运动。

IF 2 3区医学

Foot and Ankle Surgery Pub Date : 2025-08-06 DOI: 10.1016/j.fas.2025.08.001

P Ceccarini, M Donantoni, G Nuzzo, B Carriero, G Ancillai, G Rinonapoli, A Caraffa

{"title":"Return to sport after osteotomy in patients with hallux rigidus.","authors":"P Ceccarini, M Donantoni, G Nuzzo, B Carriero, G Ancillai, G Rinonapoli, A Caraffa","doi":"10.1016/j.fas.2025.08.001","DOIUrl":"https://doi.org/10.1016/j.fas.2025.08.001","url":null,"abstract":"<p><strong>Introduction: </strong>Hallux rigidus (HR) is a common degenerative condition of the first metatarsophalangeal joint (MTPJ), particularly limiting in active adults and athletes. While joint-sacrificing procedures such as arthrodesis are effective, joint-preserving techniques remain preferable in patients wishing to maintain function and mobility. The modified Youngswick osteotomy offers such an option by decompressing and realigning the joint.</p><p><strong>Methods: </strong>This retrospective observational study included 55 physically active patients (mean age: 42.8 ± 8.5 anni years) with grade II HR who underwent modified Youngswick osteotomy between 2015 and 2022. Inclusion criteria included active engagement in sports, age under 60 years, and a minimum follow-up of 24 months. Clinical outcomes were assessed using the Visual Analog Scale (VAS), the European Foot and Ankle Society (EFAS) score, and return to sports (RTS) rates.</p><p><strong>Results: </strong>At a mean follow-up of 79.3 months, 49 of 52 patients (94.2 %) resumed sports activities. Significant improvements were observed in VAS scores (from 5.04 to 0.9, p < .001) and EFAS general (22.7 ± 6.1-37.1 ± 5.4, p < .001) and sport-specific scores (9.3-14.3, p < .001). Postoperative dorsiflexion improved from a mean of 24.5° to 52.5° (p < .001). Complications were rare and mild, including two cases of transfer metatarsalgia and one hardware intolerance.</p><p><strong>Conclusion: </strong>Modified Youngswick osteotomy is an effective joint-preserving surgical option for moderate HR in active adults. It provides excellent pain relief, improves function and range of motion, and allows for a high rate of return to sports. This technique represents a valid alternative to arthrodesis in patients wishing to maintain MTPJ mobility and an active lifestyle.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing the medial distal tibial angle based on a long ankle view radiograph – Reliability of and differences between three approaches 基于长踝位x线片评估胫骨内侧远端角度-三种入路的可靠性和差异。

IF 2 3区医学

Foot and Ankle Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.fas.2025.02.010

Flavia A. Miesch , Werner Vach , Isabella Zbinden , Markus Knupp

{"title":"Assessing the medial distal tibial angle based on a long ankle view radiograph – Reliability of and differences between three approaches","authors":"Flavia A. Miesch , Werner Vach , Isabella Zbinden , Markus Knupp","doi":"10.1016/j.fas.2025.02.010","DOIUrl":"10.1016/j.fas.2025.02.010","url":null,"abstract":"<div><h3>Background</h3><div>Lower limb alignment on plain radiographs is commonly examined in orthopedics. Measurement of the medial distal tibial angle (MDTA) requires determining the tibial axis. Traditionally, in orthopedic practice, anatomical or surgical axes have been used. Due to the increasing availability of stitching tools, assessing the mechanical axis of the tibia in a lower leg mortise view radiograph has arisen as a third option. This study evaluated the reliability of three approaches to determine the MDTA on whole lower leg radiographs and the magnitude of the disparities between the approaches.</div></div><div><h3>Methods</h3><div>Thirty-eight patients were assessed on weightbearing, anteroposterior radiographs. The images included an anterior-posterior image (‘mortise view’) of the ankle joint, including the entire tibia. The radiographs were captured twice in each patient to analyze the reliability of the technique. The MDTA was measured according to the three approaches by two independent examiners.</div></div><div><h3>Results</h3><div>The mean absolute difference between MDTAs across two images was 0.8° for the anatomical axis and 0.74° for the mechanical. It was distinctly larger for the surgical axis with 1°. The MDTA differed by more than 2° between the anatomical and mechanical axes in 22 % of the patients and between the mechanical and the surgical axis in 10 % of the patients.</div></div><div><h3>Conclusion</h3><div>Weightbearing, lower leg mortise view radiographs centered on the proximal tibia and ankle joint provide reproducible values for the MDTA based on the mechanical axis. This approach should be preferred over the anatomical axis in future. The tibial tuberosity should not be used as a reference to determine the MDTA. The choice of the axis can lead to differences in the MDTA of clinically relevant magnitude.</div></div><div><h3>Level of evidence</h3><div>Level II, Prospective Cohort Study.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 6","pages":"Pages 547-554"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Forefoot morphology change following subtalar arthroereisis for symptomatic flexible flatfoot in children 有症状的儿童屈曲扁平足的距下关节挛缩后前足形态改变。

IF 2 3区医学

Foot and Ankle Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.fas.2025.02.007

Kuang-Yu Cheng , Chui-Jia Farn , Chia-Che Lee , Kevin Chun-Kai Chiu , Kuan-Wen Wu , Ken N. Kuo , Ting-Ming Wang

{"title":"Forefoot morphology change following subtalar arthroereisis for symptomatic flexible flatfoot in children","authors":"Kuang-Yu Cheng , Chui-Jia Farn , Chia-Che Lee , Kevin Chun-Kai Chiu , Kuan-Wen Wu , Ken N. Kuo , Ting-Ming Wang","doi":"10.1016/j.fas.2025.02.007","DOIUrl":"10.1016/j.fas.2025.02.007","url":null,"abstract":"<div><h3>Background</h3><div>When symptomatic pediatric<span> flexible flatfoot<span> treated with subtalar arthroereisis to improve hindfoot alignment, the postoperative forefoot supinatus can be a concern.</span></span></div></div><div><h3>Methods</h3><div><span>We retrospectively reviewed 110 patients (220 feet), ages 5–12, who underwent subtalar arthroereisis from January 2017 to December 2019, with at least two years of follow-up. Of these, 22 patients (44 feet) developed forefoot supinatus with metatarsus primus elevatus (MPE). Radiographic evaluations assessed postoperative forefoot supinatus, calcaneus and talus height. Functional outcomes were measured using the modified American </span>Orthopaedic Foot & Ankle Society (AOFAS) Forefoot Score.</div></div><div><h3>Results</h3><div>Improvements in forefoot supinatus were seen over time, with self-correction typically occurring around 6–7 months post-surgery. Bone growth positively influenced symptom relief, while demographic factors had minimal impact. The modified AOFAS score also improved.</div></div><div><h3>Conclusion</h3><div>Forefoot supinatus and MPE following subtalar arthroereisis tend to self-correct over several months, aligning with pediatric foot bone growth.</div></div><div><h3>Level of evidence</h3><div>III</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 6","pages":"Pages 525-531"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Finite element analysis of biomechanical effects of oversized total talar prosthesis and collateral ligament reconstruction on total talar replacement 超大全距假体及副韧带重建对全距置换术生物力学影响的有限元分析。

IF 2 3区医学

Foot and Ankle Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.fas.2025.02.003

Hao Li , Haitao Xie , Yuanqiang Li , Wan Chen , Haiqiong Xie , Xu Cai , Kai Wei

{"title":"Finite element analysis of biomechanical effects of oversized total talar prosthesis and collateral ligament reconstruction on total talar replacement","authors":"Hao Li , Haitao Xie , Yuanqiang Li , Wan Chen , Haiqiong Xie , Xu Cai , Kai Wei","doi":"10.1016/j.fas.2025.02.003","DOIUrl":"10.1016/j.fas.2025.02.003","url":null,"abstract":"<div><h3>Background</h3><div>Total talar replacement (TTR) using a personalized customized total talar prosthesis (TTP) is an emerging and promising surgical option for the treatment of ankle problems. However, how to solve ankle instability after total talar replacement, and the influence of related solutions on foot biomechanics has not been investigated.</div></div><div><h3>Methods</h3><div><span>Our preliminary studies have found that enlarging a personalized total talar prosthesis (TTP0) by 1.5 % along the coronal axis (TTP-FP1.5) and reconstructing the anterior talofibular ligament (ATFL) significantly can enhance ankle stability. However, there is a lack of insight into the effect of the two options on biomechanics. Consequently, this work constructed anatomically detailed finite element models of the foot, including an intact model and four surgical models, including replacement of TTP0, replacement of TTP-FP1.5, and two models of TTP-coupled </span>ATFL reconstruction. Biomechanical differences were evaluated by numerical simulation of a balanced-standing and three characteristic instants of the stand phase.</div></div><div><h3>Results</h3><div>Changes in plantar pressure distribution, joint contact pressure and force transmission, von Mises stress on bone, and prosthesis stress were predicted and analyzed. It was found that significant changes in foot biomechanics occurred after TTP-FP1.5 replacement compared to TTP0 replacement. In contrast, no ligament reconstruction versus ATFL reconstruction exerts a minor effect on biomechanics.</div></div><div><h3>Conclusion</h3><div>The findings indicate that the shape of the prosthesis is the primary factor affecting foot biomechanics after total talar replacement. In contrast, reconstruction of the ATFL has only a minimal effect on the biomechanics of the foot. The above findings will provide a solid basis for the improvement of TTR surgical plans in clinical.</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 6","pages":"Pages 505-516"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical outcomes of all-inside arthroscopic lateral ankle ligament reconstruction for chronic lateral ankle instability: A prospective series with minimum 12 month outcomes 全内关节镜下踝关节外侧韧带重建治疗慢性踝关节外侧不稳定的临床结果：一项至少12个月预后的前瞻性研究。

IF 2 3区医学

Foot and Ankle Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.fas.2025.02.008

Vikramman Vignaraja , Thomas L. Lewis , Samuel Franklin , Gabriel Ferraz Ferreira , Gustavo Araujo Nunes , Yasser Aljabi , Peter Lam , Robbie Ray

{"title":"Clinical outcomes of all-inside arthroscopic lateral ankle ligament reconstruction for chronic lateral ankle instability: A prospective series with minimum 12 month outcomes","authors":"Vikramman Vignaraja , Thomas L. Lewis , Samuel Franklin , Gabriel Ferraz Ferreira , Gustavo Araujo Nunes , Yasser Aljabi , Peter Lam , Robbie Ray","doi":"10.1016/j.fas.2025.02.008","DOIUrl":"10.1016/j.fas.2025.02.008","url":null,"abstract":"<div><h3>Background</h3><div>Chronic lateral ankle instability (CAI) is a common condition that can be effectively treated with lateral ankle ligament reconstruction to restore ankle stability and function. The aim was to assess the functional outcomes of arthroscopic lateral ligament reconstruction using the Manchester-Oxford Foot Questionnaire (MOXFQ), Visual Analog Score (VAS) and Euroqol-5D-5L (EQ-5D) patient-reported outcome measures (PROMs).</div></div><div><h3>Methods</h3><div>This prospective series included 36 consecutive patients who underwent isolated arthroscopic lateral ligament reconstruction for CAI between November 2020 and November 2022 with minimum 12-month follow up. All patients completed the MOXFQ, VAS, and EQ5D PROMs preoperatively, and a minimum of 12 months postoperatively. The MOXFQ is a foot and ankle-specific PROM that assesses foot and ankle function, the VAS measures pain and the EQ5D evaluates general health-related quality of life.</div></div><div><h3>Results</h3><div>Patients were followed up for 12–25 months. In all patients, there was significant improvement in all postoperative PROMs (p < 0.05). The MOXFQ index decreased from 59.1 ± 19.2–13.5 ± 18.1 (p < 0.01), EQ-5D index increased from 0.607 ± 0.224–0.854 ± 0.175 (p < 0.01) and VAS pain decreased from 36.6 ± 22.3–13.6 ± 18.4 (p < 0.01).A total of 6 patients(16.3 %) were lost to follow up and mean follow-up time was 1.63 ± 0.54 years.</div></div><div><h3>Conclusion</h3><div>Arthroscopic lateral ankle ligament reconstruction is an effective treatment for chronic ankle instability, with significant improvements in clinical and health-related quality of life outcomes.</div></div><div><h3>Level of evidence</h3><div>IV</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 6","pages":"Pages 532-538"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Minimally invasive surgical techniques compared to an extensile lateral approach in the management of displaced intra-articular calcaneal fractures. A systematic review and meta-analysis of randomised controlled trials 微创手术技术与伸展外侧入路在治疗移位的跟骨关节内骨折中的比较。随机对照试验的系统回顾和荟萃分析。

IF 2 3区医学

Foot and Ankle Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.fas.2025.02.012

Scott D. Purdie , Niamh Hoskins , Regina Jesslyn Sumarlie , Natthaya Eiamampai , Paul Lebeslé , Fergus Wood , Anagha Chinmayee , Wei Qi Lim , Sriskandarasa Senthilkumaran , Louise Fisher , Santosh Baliga

{"title":"Minimally invasive surgical techniques compared to an extensile lateral approach in the management of displaced intra-articular calcaneal fractures. A systematic review and meta-analysis of randomised controlled trials","authors":"Scott D. Purdie , Niamh Hoskins , Regina Jesslyn Sumarlie , Natthaya Eiamampai , Paul Lebeslé , Fergus Wood , Anagha Chinmayee , Wei Qi Lim , Sriskandarasa Senthilkumaran , Louise Fisher , Santosh Baliga","doi":"10.1016/j.fas.2025.02.012","DOIUrl":"10.1016/j.fas.2025.02.012","url":null,"abstract":"<div><h3>Background</h3><div>Developments in minimally invasive surgical techniques (MIS) have sparked debate over the optimal intervention for calcaneal fractures. This meta-analysis compares the extensile lateral approach (ELA) to two MIS techniques; the sinus tarsi approach and percutaneous approaches.</div></div><div><h3>Methods</h3><div>A systematic search was conducted across seven databases for randomised control trials (RCTs). The clinical outcomes were wound complications, functional scores (American Orthopaedic Foot & Ankle Society score, and Maryland Foot Score) and radiological measures (Böhler’s and Gissane’s angles).</div></div><div><h3>Results</h3><div>Fourteen RCTs (<em>n</em> = 1367; mean age: 36.3 years; 25.7 % female) were included. MIS significantly reduced wound complications compared to ELA (RR 6.48, 95 %CI 4.03–10.41, p < 0.00001, <em>n</em> = 1380, GRADE: High). Functional scores favoured MIS, and radiological outcomes were equivalent.</div></div><div><h3>Conclusions</h3><div>Both MIS techniques reduce wound complications, improve functional outcomes, and achieve comparable anatomical reduction, making them suitable alternatives to the extensile lateral approach, to significantly improve patient’s outcomes.</div></div><div><h3>Level of Evidence</h3><div>Level 1</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 6","pages":"Pages 473-485"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Response to letter to the editor to comment on : Prevalence and risk factors of ankle osteoarthritis in a population-based study 回复编辑对一项基于人群的研究中踝关节骨关节炎患病率和危险因素的评论。

IF 2 3区医学

Foot and Ankle Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.fas.2025.07.001

Akinobu Nishimura, Yoshiyuki Senga, Yuki Fujikawa, Chihiro Konno, Akihiro Sudo

引用次数: 0

Anatomohistological study of the peroneus longus tendon in the cuboid bone tunnel: Correlation with tunnel dimensions and the presence of os peroneum 长方体骨隧道中腓骨长肌腱的解剖组织学研究：与隧道尺寸和腓骨肌存在的相关性。

IF 2 3区医学

Foot and Ankle Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.fas.2025.02.006

Henrique César Temóteo Ribeiro , José Alberto Dias Leite , Marcos Vinícius Lopes de Queiroz , João Felipe Martins Tomaz , Maria Luzete Costa Cavalcante , Diego Ariel de Lima

{"title":"Anatomohistological study of the peroneus longus tendon in the cuboid bone tunnel: Correlation with tunnel dimensions and the presence of os peroneum","authors":"Henrique César Temóteo Ribeiro , José Alberto Dias Leite , Marcos Vinícius Lopes de Queiroz , João Felipe Martins Tomaz , Maria Luzete Costa Cavalcante , Diego Ariel de Lima","doi":"10.1016/j.fas.2025.02.006","DOIUrl":"10.1016/j.fas.2025.02.006","url":null,"abstract":"<div><h3>Background</h3><div><span>Peroneal tendon injuries, particularly of the peroneus longus, contribute to lateral ankle pain and instability. However, limited literature addresses the anatomical influence of the cuboid tunnel and the </span><em>os peroneum</em> on such injuries. This study investigates histological changes in the peroneus longus tendon and their relationship to cuboid tunnel dimensions, <em>os peroneum</em> presence, and age.</div></div><div><h3>Methods</h3><div>This cross-sectional study examined 60 peroneus longus tendons from 30 cadavers (ages 15–71). Tendons were sectioned and histologically analyzed for cellularity and collagen composition. Cuboid tunnel dimensions were measured, and the presence of <em>os peroneum</em>, an accessory ossicle located within the peroneus longus tendon, was recorded. Statistical correlations were performed.</div></div><div><h3>Results</h3><div><span>Increased type III collagen and cellularity were significantly associated with advanced age, reduced tunnel width, and increased tunnel height (p < 0.05). No significant association was found with tunnel length or </span><em>os peroneum</em> presence.</div></div><div><h3>Conclusions</h3><div>Age, reduced cuboid tunnel width, and increased tunnel height are associated with peroneus longus tendon degeneration, with collagen type I<span> replacement by type III, predisposing factors for tendinosis.</span></div></div><div><h3>Level of Evidence</h3><div>Level IV (Anatomical Study)</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 6","pages":"Pages 521-524"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of metatarsal Ewing sarcoma following the resection and intercalary reconstruction with fibular strut allograft: A retrospective case series 跖骨尤文氏肉瘤切除术及腓骨支架异体移植物骨间重建的结果：回顾性病例系列。

IF 2 3区医学

Foot and Ankle Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.fas.2025.02.001

Khodamorad Jamshidi , Abolfazl Bagherifard , Seyyed Saeed Khabiri , Alireza Mirzaei

{"title":"Outcomes of metatarsal Ewing sarcoma following the resection and intercalary reconstruction with fibular strut allograft: A retrospective case series","authors":"Khodamorad Jamshidi , Abolfazl Bagherifard , Seyyed Saeed Khabiri , Alireza Mirzaei","doi":"10.1016/j.fas.2025.02.001","DOIUrl":"10.1016/j.fas.2025.02.001","url":null,"abstract":"<div><h3>Background</h3><div>Traditionally, metatarsal Ewing sarcoma<span><span> (ES) is managed with disarticulation above the </span>tarsometatarsal joint<span> and ray amputation. In this study, we evaluate the outcomes of a less invasive approach in patients with metatarsal ES and good response to neoadjuvant chemotherapy.</span></span></div></div><div><h3>Methods</h3><div>Eleven patients with metatarsal ES (mean age: 11.5 ± 3) and complete radiologic response to neoadjuvant chemotherapy who underwent resection and reconstruction with fibular strut allograft were included.</div></div><div><h3>Results</h3><div><span><span><span>At a mean follow-up of 8.5 ± 4 years, the mean Musculoskeletal Tumor Society (MSTS) score of the patients was 29 ± 1.7. Patients with metatarsophalangeal </span>joint fusion had limitations in reactional activities. One patient had a local recurrence. </span>Postoperative complications included </span>wound dehiscence (n = 1), superficial infection (n = 1), and allograft fracture (n = 1). Only one patient required revision surgery.</div></div><div><h3>Conclusion</h3><div>Fibular allograft reconstruction after resection of metatarsal ES can be regarded as a valuable alternative to amputation in patients who respond well to neoadjuvant chemotherapy.</div></div><div><h3>Level of evidence</h3><div>IV</div></div>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":"31 6","pages":"Pages 492-497"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0